MRS. Jessica M Clark

NPI #1053032110 in Kokomo, Indiana

Provider Information

NPI Number: 1053032110
Entity Type: Individual
Name: MRS. Jessica M Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 7, 2022
Last Updated: Sep 7, 2022

Practice Location

Address: 3416 S DIXON RD STE B
City: Kokomo
State: Indiana
ZIP Code: 46902-5644
Phone: (765) 431-7705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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